1440 TRANSRECTAL ULTRASOUND GUIDED PROSTATE NEEDLE BIOPSY RESULTS OF 3411 PATIENTS IN OUR CLINIC

You have accessJournal of UrologyProstate Cancer: Detection and Screening II1 Apr 20121440 TRANSRECTAL ULTRASOUND GUIDED PROSTATE NEEDLE BIOPSY RESULTS OF 3411 PATIENTS IN OUR CLINIC Ugur Yücetas, Soner Ulusoy, Emre Karabay, Akin Soner Amasyali, Erkan Erkan, Gökhan Toktas, and Erdinc Unlüer Ugur YücetasUgur Yücetas Istanbul, Turkey More articles by this author , Soner UlusoySoner Ulusoy Istanbul, Turkey More articles by this author , Emre KarabayEmre Karabay Istanbul, Turkey More articles by this author , Akin Soner AmasyaliAkin Soner Amasyali Istanbul, Turkey More articles by this author , Erkan ErkanErkan Erkan Istanbul, Turkey More articles by this author , Gökhan ToktasGökhan Toktas Istanbul, Turkey More articles by this author , and Erdinc UnlüerErdinc Unlüer Kars, Turkey More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2012.02.1934AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES We analyzed the results of transrectal ultrasound guided prostate needle biopsy results of 3411 patients in our clinic. METHODS We retrospectively reviewed the medical records of 3702 transrectal ultrasound guided needle biopsies of the prostate in 3411 patients performed at the last 15 years. Age, psa value, prostate volume, psa density and pathology results of the patients were compared. Furthermore, the second and thýrd biopsy results and major complications were evaluated. RESULTS The mean age of the patients was 63.98±7.53 (37-86) years, the mean psa value was 13.93 ng/ml, the mean prostate volume was 43.70±23.66 cc and the mean psa density was 0.40±0.85. When the pathology results of the patients were investigated; at the first biopsy, cancer detection rate was %22.3, Hýgh Grade PIN detection rate was % 3.2 and ASAP (Atipic small asiner proliferation) detection rate was %8.9. According to the PSA value, patients were divided into 3 groups. In the fýrst group, PSA value was less than 4 ng/ml and canser detection rate was %12.8. In the second group, PSA value was between 4 and 10 ng/ml and canser detection rate was %16.2. In the thýrd group, PSA value was hýgher than 10 ng/ml and canser detection rate was %32.5 (table 2). Also, second biopsy was performed to 271 patients and the thýrd biopsy was performed to 20 patients. At the second biopsy, prostate canser was found in 50 patýents (%18.5) and at the third biopsy prostate canser was found in 4 patients (%20). The major complications of the prostate biopsies were analyzed. Uriner tract infection requiring hospitalization and parenteral antibiotherapy was found in 33 patients. 7 patients were treated for urosepsis. 1 patient died because of urosepsis. Pelvic hematoma due to prostate biopsy was found in 1 patient. CONCLUSIONS According to the transrectal ultrasound guided prostate needle biopsy results of the 3411 patients, canser detection rate was %22.3 at the first biopsy, %18.5 at the second biopsy and %20 at the thýrd biopsy. Also, canser was detected approximately one-thýrd of the patients (%32.5), whose PSA value was higher than 10 ng/ml. Undetected canser patients should be closely followed by the first biopsy and second biopsy in these patients should be noted that the planning may be required. We should not forget that prostate biopsy is not an ýnnocent process because of the complications like pelvic hematoma, urosepsis or even death. © 2012 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 187Issue 4SApril 2012Page: e584-e585 Advertisement Copyright & Permissions© 2012 by American Urological Association Education and Research, Inc.MetricsAuthor Information Ugur Yücetas Istanbul, Turkey More articles by this author Soner Ulusoy Istanbul, Turkey More articles by this author Emre Karabay Istanbul, Turkey More articles by this author Akin Soner Amasyali Istanbul, Turkey More articles by this author Erkan Erkan Istanbul, Turkey More articles by this author Gökhan Toktas Istanbul, Turkey More articles by this author Erdinc Unlüer Kars, Turkey More articles by this author Expand All Advertisement Advertisement PDF DownloadLoading ...